Individual provider Active NPI

Elisabeth B Gabor, MD

  • Pediatrics Physician
  • Alexandria, VA
National Provider Identifier
1669633616
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101261706 Issued in VA
Practice address
7015C Manchester Blvd
Alexandria, VA 22310
Phone
(703) 971-6900
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 30785 SC
Pediatrics Physician 208000000X 0101261706 VA Primary

Addresses

Primary practice location

7015C Manchester Blvd
Alexandria, VA 22310

Mailing address

7015C Manchester Blvd
Alexandria, VA 22310-3420
Phone (703) 971-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30785SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Group, PC Current Accepting new patients

Locations

7015C Manchester Blvd
Alexandria, VA 22310
Phone (703) 971-6900

Interoperability endpoints

  • Direct secure messaging: elisabeth.gabor@tpgp.eclinicaldirectplus.com
  • Direct secure messaging: elisabethgabor@tpedg.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1669633616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7015C MANCHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103420",
            "telephone_number": "703-971-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7015C MANCHESTER BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22310",
            "telephone_number": "703-971-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABOR",
        "first_name": "ELISABETH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "30785",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101261706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.